An Epidemiologic Approach to Quality Improvement, Quality Assurance, and Clinical Research

1992 ◽  
Vol 13 (9) ◽  
pp. 545-552 ◽  
Author(s):  
Laura Lee ◽  
Vickey Anderson ◽  
Pat Piringer ◽  
Jean Boone ◽  
David K. Henderson
1992 ◽  
Vol 13 (9) ◽  
pp. 545-552 ◽  
Author(s):  
Michael D. Decker ◽  
Laura Lee ◽  
Vickey Anderson ◽  
Pat Piringer ◽  
Jean Boone ◽  
...  

1992 ◽  
Vol 10 (3) ◽  
pp. 477-492
Author(s):  
Dennis S. O'Leary ◽  
Margaret R. O'Leary

2004 ◽  
Vol 23 (4) ◽  
pp. 104-113
Author(s):  
R. W. Pretorius

In view of the controversy which characterises systems for quality assurance in higher education worldwide, this article provides a critical review of the theory and practice of quality in the higher education sector.  The state of affairs in South Africa is also reviewed, with the focus on the new system for quality assurance which is currently being implemented.  Despite good intentions, however, the new system in South Africa tends to be over-burocratic, with limited potential for deepseated change and quality improvement as a result of the focus on accountability rather than on continuous improvement. Real improvement is an internally driven process, which cannot be achieved through burocratic measurement and control.  In line with what has been experienced internationally, this article argues that a more flexible approach to the meaning of quality in the context of higher educaction is required in South Africa.  Apart from defining and assuring quality, this approach should also be directed at its improvement.  However, the point of departure has to be quality improvement, and not quality assurance and control.


2020 ◽  
Vol 7 (1) ◽  
pp. 224-230
Author(s):  
Stuart L Douglas ◽  
Andrew McRae ◽  
Lisa Calder ◽  
Melanie de Wit ◽  
Marco L A Sivilotti ◽  
...  

While video and audio recording (VAR) of patients is well described for clinical research, its application to quality improvement in the emergency department has thus far been limited and hindered by potential obstacles. We believe this technology holds promise to incite marked systems improvement but only if deployed in a thoughtful and principled manner. Experts in clinical, regulatory, legal, quality improvement, patient safety and ethical domains collaborated to articulate the salient considerations and challenges to implementation of a VAR programme. We describe this implementation using the lens of legislation and other principles specific to our current context. The landscape of ethical, legal and regulatory barriers and a case example of how a VAR programme has been implemented in an emergency department in Ontario, Canada are outlined. The potential to harness VAR data to drive quality and to improve safety is remarkable. Articulating the most contentious issues and illustrating how they can be addressed may guide others hoping to implement similar VAR programmes.


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